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Developing a Pediatric Pain AppClyde Matava, Arie Peliowski, Lori Palozzi, Natasha Mills, Basem Naser
Department of Anaesthesia and Pain Medicine, Hospital for Sick Children, Toronto
OBJECTIVES
DESIGN PROCESS
BACKGROUND
• 27% of pediatric patients have pain before admission
• 77% experience pain during admission
•23% have moderate or severe pain
•64% have moderate or severe pain sometime in the previous 24 h
•Analgesics were largely intermittent and single-agent, although 90% of patients found these helpful.
•Knowledge of pain medication is a limitation
SCREENSHOTS
Determine(Need(
Iden,fy(goals((
Recruit(team(
Gather(Data( GUI(design( App(
Itera,ons(Alpha(tes,ng(
Beta(tes,ng( Marke,ng( Distribu,on(
Design an app whose features includeGeneral use (for surgical and nursing services)•Pain management of pediatric surgical patients by weight and age•Pediatric pain drug doses calculation by patient weight drugs - tylenol, NSAIDS, oral and iv/im/sc opioids
•Recommended pain management for routine day surgery cases•Recommended pain management for inpatients (tylenol, NSAIDS, infusions, po/iv/im/sc)
•Pain Score tools
Advanced use for acute and chronic pain services •Conversions from po/iv/im/sc/transdermal to po/iv/im/sc/transdermal opioids•Doses for PCA opiates•Pain Score tools•Regional anesthesia dosing
CHALLENGES
•Time
•Identifying developers
•Corporate branding
•GUI design
•Data integrity
•Quality and safety
TARGET POPULATION
•Physicians (surgeons, pediatricians, general practictioners, anesthesiologists, dentists)
•Nurses
•Medical Students
•Nursing Students
QUALITY AND SAFETY
•3 months of data integrity testing via an iterative process
•8 alpha testers
•20 beta testers
•Post market testing